摘要
目的探讨肝脏恶性肿瘤实施规则性肝切除或非规则性肝切除的围手术期因素，比较二者在围手术期中的优越性。方法回顾性分析研究解放军空军总医院和解放军总医院1986～2009年1019例肝脏恶性肿瘤肝切除的手术期和围手术期因素。结果多因素分析表明，对于肝脏恶性肿瘤患者，规则性肝切除在术中失血量、术后并发症、住院死亡率、术后住院天数等方面与非规则性肝切除无显著差异，但规则性肝切除术的手术时间显著多于非规则性肝切除术（P〈0．001，OR=1．004）。结论虽然从肿瘤学上讲对肝恶性肿瘤实施规则性肝段切除比非规则性肝切除更具优势，但在临床实践中与非规则性肝切除相比，规则性肝切除围手术期风险没有显著优势。
Objective To compare superiorities of liver malignant tumors underwent regular and irregular hepatectomies through approaching perioperative factors. Methods 1019 consecutive hepatectomies of liver malignant tumor from 1986 to 2009 at Air Force General Hospital and General Hospital of Chinese PEA were investigated retrospectively according to their medical documentation. Resuits Multivariate analysis showed that liver malignant tumors on which regular hepatectomy and irregular hepatectomy were performed, there was no significant difference in the blood loss, complications, mortality related to operation, hospital stay, and so on. But the operating time of regular hepatectomy was obvious more than that of irregular hepatectomy （P=0. 001, OR= 1. 004）. Conclusions Although for liver malignant tumor, regular hepatectomy seems to be superior to irregular hepatectomy based on oncological theory, in clinical practice, there were no significant difference between the perioperative risk of regular hepatectomy and that of irregular hepatectomy.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2012年第2期106-109,共4页
Chinese Journal of Hepatobiliary Surgery
